Forms

Welcome:

If you're a new client, please complete the first 2 forms "Valentino Tx Informed Consent MFT" and "Valentino Therapy Client Intake Information Form" and any others that you feel would apply to you or be helpful and bring them to your first therapy session. I will be happy to review them with you.

• Privacy-HIPAA
• Release of Confidential Information Authorization Form

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• Harm and Suicide Prevention Contract
• Client Intake Information Form
• Telehealth Consent Form
• Informed Consent
• Substance Abuse Concerns Questionnaire and Initial Assessment
• 20 Questions to Decide if You are an Alcoholic
• Are You a Food Addict (AA Based)
• Modern Food Addiction Self Test
• Self-Esteem Self Test
• Self Assessment
• Consent to Treat a Minor
• Anxiety & Depression Self Test

Note: To download Adobe Acrobat Reader for free,

click here .

If you have trouble accessing any of the above forms, Email [email protected] and we can email it to you.